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BAKERSFIELD FIRE DEPT,
UNIFIED PROGRAM INSPECTION CHECKLIST prevention Services
2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan 0 Tel.: (661) 326-3979
Inspection � � Fax: (661) 852-2171
FACILITY NAME � INSPECTION DATE INSPECTION TIME
r e P,4� or� 532--
ADDRESS ( PHONE NO. NO OF EMPLOYEES
3 C 0
FACILITY CONTACT IBUSINESS ID NUMBER
CONSENT TO INSPECTNAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V c=Compliance OPERATION
V=Violation; I, I I Minor
C E RS
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
/
/Q -, i e P r l
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1010004
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)1
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
1010006
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1020002
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
3030007
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032 —_
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt'_
I I I&> - 1 0 APP
Explain: - --- -- - _-----
Inspector: 04 VL^— an, e '
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by %0 ` lZ
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow -- Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)
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